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Topic: Anyone still have poz sex ? (Read 7563 times)

Hey everyone, does anyone ever have unprotected sex with other poz people? And if so what are the risks of this. Or does it matter ? From what I can see from people around here, they all want unprotected sex.

There is no evidence that unprotected sex with other POZ people is a significant risk for reinfection or superinfection. But other STDs can hammer the immune system like you would not believe.

If you are going to choose sex without condoms, at least get tested for STDs every other month (at the latest).

Do the research, be aware, and look after yourself.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

In May, 2001 I had unprotected sex with a negative man after using condoms with him previously. He was one of those who "doesn't enjoy" wearing a condom and I let myself act against my best interests. I had unsafe sex once after 15 years of safer sex.

In November, 2001 I became ill with Hepatitis B (which became chronic). My ID doc said she didn't think the infection could have been transmitted from him but that was the only high risk activity I'd engaged in.

Whether I was infected by him doesn't matter any longer but I will never again be persuaded to engage in a high risk activity unless I've decided to commit suicide slowly. I don't need Hep C or herpes or anything else.

Boo

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String up every aristocrat!Out with the priests and let them live on their fat!

There is no evidence that unprotected sex with other POZ people is a significant risk for reinfection or superinfection. But other STDs can hammer the immune system like you would not believe.

If you are going to choose sex without condoms, at least get tested for STDs every other month (at the latest).,

Do the research, be aware, and look after yourself.

Umm....I have been told by my ID doctors & other HIV specialists at my old hospital in Bethesda, MD and a few former NIH docs that you can in fact be re-infected since my diagnoses in 2002,

I would not take it so lightly that there is a very low risk for re-infection because for the professionals to swear on this and educate me as such from day one there is obviously documentation of such incidents happening.

I don't know how high or likely and what the statistics are of re-infection are however who would want to chance getting re-infected again it does happen thats why there are growing strains and mutations of the virus.As far as STD's there are some nasty ones that have been popping up in the last 4-5 yrs like increases of Hep C, Syphillus, HPV, Anal cancer to name a few.

<< I would not take it so lightly that there is a very low risk for re-infection because for the professionals to swear on this and educate me as such from day one there is obviously documentation of such incidents happening>>

There are a dozen or so roughly documented cases.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

Please believe me, I never, ever present an opinion on medical/STD/HIV info here that I cannot document rather thoroughly.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

Please believe me, I never, ever present an opinion on medical/STD/HIV info here that I cannot document rather thoroughly.

I hear you but the people most at risk for re-infection are those who have uprotected anal sex. In the case of the supposed superinfection the guy who was infected with the highly resistant strain had numerous parteners unprotected, Although he claimed a hundred or more partners. It could be way less than that occur. In other words I believe it could happen with just a few partners. How often does it happen? I don't know

The numbers of those become re-infected may not be high I have to believe its just lke anything else. Say a 1 in 1000 chance of be re-infected anyone could be infected when they least expect it. But the STD's can seriously diminish you're of life

I knew a guy in my old HIV support group that got HPV then anal cancer, another re-occurance then later had to have a colostomy done. He has to carry a pea bag everywhere he goes now for the rest of his life, and the guy is young. Another person I know was infected with Hep C long after he was HIV+ he claims he wasn't sexually active(hmmm).

To answer the post originators question though as much as I liked sex before I would never had unprotected sex especially when POZ there are too many nasty things out ther to get you if you're not careful.

I have been, kinda by default, the voice of the barebacker around here ever since I first joined in June, 2005.

All I can say, really, is that it is ultimately my life to live as I choose. If you knew how much HIV has compromised from that life, and how little has been left for me by way of options, then you might or might not decide for yourself whether my decision to strictly serosort and forgo condoms is foolhardy or courageous. I've been called both, and frankly neither has effected my personal choices very much.

In the briefest possible way it comes down to this:

1) I am by my very nature and in my very essence a sexual being.2) I lived by the strict rules of conduct regarding safe(r) sex for twenty years and am still HIV+. This is no fault of the conventional wisdom, simply that I was infected prior to adopting safe(r) sex as the norm in 1985, when I was 25. I had already been sexually active for eight years.3) Living under the safe(r) sex paradigm reduced my desire to have sex to the point where the essential part of my being was hopelessly compromised.4) I grew to resent my life and the choices living under the paradigm of safe(r) sex offered me: I felt hollow and empty.5) After nine years of an abusive and loveless partnership, I fled and found myself single in a place (Ft Lauderdale) and time (2005) where adherence to the paradigm of safe(r) sex was, at least among the poz community, seen as an anachronism.6) Confused, I looked for answers and found AIDSmeds.com, where I found both logical scientific information and highly emotional discussion about this same topic.7) I decided that, for my needs, sex with condoms isn't sex.

I made quite a splash detailing my activities in my blog. For several months last spring and summer, I was having large volumes of unprotected sex with HIV+ partners, with anywhere from five to twenty partners a week. One could say that I was working things through. I had two sexually transmitted UTIs which were caught early. But the treatment was excruciating and nauseating. I also got an infection in my mouth that nearly caused me to lose three teeth.

I have been celebate since August due to a variety of concerns, both physical and emotional. I see this as a temporary situation and will resume my sex life when the time is right.

I don't advocate repeating my experience to anyone. But I go on the record as having no regrets for anything I did. It is, as I said in the beginning, my life.

Brent(Who knows a lot about this subject)

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The revolutionary smart set reads The Spin Cycle at least once every day.

<< I hear you but the people most at risk for re-infection are those who have uprotected anal sex>>

With the exception of the twelve or so documented cases, I have yet to see scientific validation of this claim insofar as reinfection is concerned. And even then, it would appear that reinfection is only an issue in the first few months or year of infection, before a dominant strain has asserted itself.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

And even then, it would appear that reinfection is only an issue in the first few months or year of infection, before a dominant strain has asserted itself.

I have heard this as well.

And I've read (and I know I've mentioned this before more than once but have yet to really discuss it with anyone here) that our HIV antibodies seem to confer a level of protection against re-infection with new strains of HIV. But this seems to only happen, as you said Jonathan, after the first year or so... when a sort of parity has been reached between virus and immune system, and the antibodies are most effective.

Hey everyone, does anyone ever have unprotected sex with other poz people? And if so what are the risks of this. Or does it matter ? From what I can see from people around here, they all want unprotected sex.

Your thoughts

Thanks

Garret.

Garret,

Not only do we "ALL"want to have unprotected sex, but we also want to take over the world.

<<I would not take it so lightly that there is a very low risk for re-infection because for the professionals to swear on this and educate me as such from day one there is obviously documentation of such incidents happening.>>

I woulod be happy to research and quote chapter and verse regarding reinfection, as this topic has been covered extensively on these forums. But experience has taught me that it is a waste of time and effort. People will not be swayed by scientific evidence. And to be fair, the truth, what little there is, is out there for anyone to asertain for him/herself.

I only ask that people refrain from judgment an/or advice in areas that they have not personally delved.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

This has been covered so many times before. Johnathon and Brent have voiced what is, in practice, the prevailing attitude.

Poz guys don't really use condoms with each other very often. You see a lot of lip service out there for their use on this site and when people talk about it. But, in the ten years I've been poz, and being an avowed and practicing serosorter, I have met exactly zero poz guys who wanted to use a condom. Zero out of hundreds.

You run the risk of getting one of the other stds'. Be sure you have your hep vaccinations and you have retained immunity. Your doctor can test for this. As Boo mentioned, HEP is bad and you don't want it. Ever. Be sure you get tested for everything else all the time. Certain things like syphillis, herpes and chlamydia are not always easily noticeable in a partner. Even gonorrhea isn't that obvious when it's in the rectum.

In short you have to determine your own level of risk. It's up to you. It's best to stay informed and not make decisions based on apocryphal stories about superinfection.

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How do you know if you have HPV? I've looked at this on the internet before and I don't really understand it. It seems there are lots of different types, and some only cause warts for example, while others can cause cancer. I've had genital warts in the past, does this mean I'm more at risk of having the form of HPV that causes cancer? Sorry if this is a stupid question.

I have been with my partner, since 1980. In 1985, I screwed up, the results of the screw-up, was a positive HIV result. I am still with the same guy today. He is HIV negative.

Even if I was in a posiion to go out and have unprotected sex with other HIV positive people, there is no way possible I would allow that to happen.

There are plenty of other STD's out there, and they may not be so easy to get rid of. It's not all about, just getting tested and getting a shot in the ass, if that was the case. And Genital warts are contagious. A condom will lower that risk of HPV spreading, but it doesn't always prevent it from happenning. Soo........Be careful !

<<I would not take it so lightly that there is a very low risk for re-infection because for the professionals to swear on this and educate me as such from day one there is obviously documentation of such incidents happening.>>

I would be happy to research and quote chapter and verse regarding reinfection, as this topic has been covered extensively on these forums. But experience has taught me that it is a waste of time and effort. People will not be swayed by scientific evidence. And to be fair, the truth, what little there is, is out there for anyone to ascertain for him/herself.

I only ask that people refrain from judgment an/or advice in areas that they have not personally delved.

I just want to be clear that I'm not judging anything. As a matter of fact I'm always willing to learn new ideas and things.

It's just that my ID doctors have so preached using protection to protect against such things, anyways that puzzles me why its such a big deal to them They're not incompetent doctors these guys deal strictly with HIV/AIDS and work across the street from the NIH where they get some NIH doctors from time to time, we also have a research team from the Henry Jackson foundation.

I consider myself very knowledgeable about HIV in my life there are things I've yet to learn or experience as I'm lucky to have such a good team of doctors, nurses, preventative medicine specialists etc...Does that mean I'm always right? Of course not. Of course I've seen HIV+ people that don't know a lot about HIV and have been POZ for a long time.

The point of this thread is that it still doesn't bode well to have unprotected sex even while POZ. While some may never catch anything there are those and some others who can get some nasty STD's etc...

I have been with my partner, since 1980. In 1985, I screwed up, the results of the screw-up, was a positive HIV result. I am still with the same guy today. He is HIV negative.

Even if I was in a posiion to go out and have unprotected sex with other HIV positive people, there is no way possible I would allow that to happen.

There are plenty of other STD's out there, and they may not be so easy to get rid of. It's not all about, just getting tested and getting a shot in the ass, if that was the case. And Genital warts are contagious. A condom will lower that risk of HPV spreading, but it doesn't always prevent it from happenning. Soo........Be careful !

Ray

Yeah HPV is nasty stuff. Luckily I never had it but from what I understand you have an Increased risk even without having sex. Smoking increases it too.When found out the guy in my support group is getting a colostomy. It really opened my eyes to how serious HPV can be.

Of course, you realize that condom use still allows the very real possibility of STD as well. Gonnorrhea, syphilis, and especially HPV can - and often are - transmitte despite the correct and consistent use of condoms.

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"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

How do you know if you have HPV? I've looked at this on the internet before and I don't really understand it. It seems there are lots of different types, and some only cause warts for example, while others can cause cancer. I've had genital warts in the past, does this mean I'm more at risk of having the form of HPV that causes cancer? Sorry if this is a stupid question.

You get a male version of a PAP smear. Basically they stick a Q-tip up your ass. Your GP can do this. Then they test it for presence of HPV or irregular cellular structure presence. I was told a good time to test is at your HIV ten year anniversary. That's when I had mine, and OF COURSE, it was positive.

THEN you go to whatever they call an anal specialist. If you live in New York I can't recommend the office of Dr. Stephen Goldstone enough -- he's top in the field and you will not feel uncomfortable as a gay man there. Located right in Chelsea!

Once you go to the butt doctor GET READY! You have to get in this kind of reverse stir-up thing that sticks your ass up in the air, and then they stick this little scope up your lubed shit chute (they gave me an advance on xanax to relax me before I arrived) and they take a live video of what's up your butt. If there's what's called dysplasia which I think is a large clump of the irregular cell structure they go in with a little laser and burn it out.

Yes, it's kind of mortifying. But once you have it done the first time it's really not all that bad. Getting a crown at the dentist is worse, let's put it that way. Definitely take some xanax before going though. After they find stuff in you they set up a treatment plan and you have regular check ups, probably either every 6 months and then if you continue to be clear every year.

I've been bad and since I moved I've not gone for 2 years. I need to sort this out here. Oddly my HIV specialist doesn't seem to bring it up. It was quite the "on topic" thing in treatment in NYC five years ago -- "everyone should be checked!"

What do you ID's say to you about it?

ps: a colostomy is not the same as HPV dysplasia removal -- isn't that for prostate cancer? That's two separate issues and I've not had that done. I'm 42 though now so maybe I should. Ick... but really as a 99% bottom I'm so used to larger things going up in there. I can imagine what a complete and utter horror house it is for a top. HA HA

What I still don't really understand is...well in the past few days some anal warts which I thought I had gotten rid of have come back which is irritating. So if they stuck a q-tip up my ass right now wouldn't it be positive for HPV? And since I've had anal warts, does that mean I'm going to be at risk of anal cancer in the future? I had no idea about any of this stuff til I came here, I thought genital warts were more an inconvenience rather than anything serious. My doctors have never mentioned anything, although I guess I have only been infected with HIV for 3 years.

20 partners in a WEEK? that's like 3 per day! Did they all have to fill out separation agreements that included a confidentiality or non-disclosure clause?

Couples and small groups were something of a specialty of mine. And the parties, babe...oh the parties!

I'll not delve iinto particulars here (that's what The Spin Cycle's for), but yeah. There were a lot of guys. As for confidentiality and non-disclosure forms, most were eventually made of aware of my habit of memorializing them and our activities on the blog. Many were indifferent, several were actually quite proud of their transition into literary figures.

One was concerned that I'd out him, not as a latent bottom, but as a drug user.

Brent(Who has no wish to harm)

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The revolutionary smart set reads The Spin Cycle at least once every day.

I had a anal pap smear done and they took two "chunks" out and it hurt like shit! (No pun intended). the results came back. One was negative and the other was inconclusive. I have to go back! Since I live in New York, I want to see this Dr. Goldstien.

Every gay man should have it done especaily poz and neg bottom men.

As for the unprotected sex, I WILL NEVER DO IT AGIAN!!! I was always safe until a recent trip to Germany change that and it was one time and the guy didn't cum inside me. Was that effective? NOPE!

POZ men need to realize that unsafe sex without condoms is more problems already on your added roster! Why in the F*** world would make things better than having sex without a rubber? Why? Cause it feels good? Yeah and get more infections so your immune system can do more work and you get more sick! my partner is neg and I won;t have sex with him until I AM READY and it will be with RUBBERS!

The biggest problem with gay men is that many of us walk around with these myths about sex and many don;t know their staus or know and keep it quiet (which is even MORE F*** UP!). If many of us who grew up with the safe sex messages stuck to them, we wouldn;t be here. I know we all make mistakes but sometimes thinking before we act is a lot better than ruining our health for a piece of dick! We pay for it in the end!

sorry for being on my soap box but I jsut wanted to give my opinion on this!

Hmmm...this is pretty interesting. I've been in a relationship with my partner for the last 14 years and we've NEVER used a condom. I'm the positive one here. He gets his hiv test every year and still remains negative. We do have our safe sex but that for us is simply me not having an orgasm inside his body. If I feel even the slightest chance of pre-cum I withdraw and finish outside. I wish I wouldn't have to, but I don't want him to go through the things I've gone through being positive. I don't like the feel of condoms but know everyone should use them and I do promote their use. If I'd had the urge to have sex with someone else? Of coarse, quite often. I haven't done it, but I don't rule over the things that are in my destiny. What scares me away from this besides respect is the fact that I might catch any other thing that might complicate my "up till now" stable 'undetectable' hiv status. I do know that if I would have an "outside" experience with someone else it would be more of a sexual massage than anything else. Since it has never happened, I don't really anticipate that I'd go too deep into the real sexual aspect of it...mutual masturbation and dry kissing would probably be what I'd probably do (if the lips and everything else looks healthy). For the moment, my feelings and urges are well tied to my partner and myself. If he WAS positive, then we would have to be even more careful than what we already are. I think then condoms should definitely come into the scene or we would have to establish a very superficial sex play that involves no risk practices. I do know a few, and they ARE pretty hot and satisfying.

« Last Edit: February 25, 2007, 12:13:10 PM by Catman »

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Catman

Meow to the birdsMeow to the tree'sMeow to the endof this dreadful disease...

What I still don't really understand is...well in the past few days some anal warts which I thought I had gotten rid of have come back which is irritating. So if they stuck a q-tip up my ass right now wouldn't it be positive for HPV? And since I've had anal warts, does that mean I'm going to be at risk of anal cancer in the future? I had no idea about any of this stuff til I came here, I thought genital warts were more an inconvenience rather than anything serious. My doctors have never mentioned anything, although I guess I have only been infected with HIV for 3 years.

I'm not really sure of the answer. I know once you have anal warts you are pretty sure AT SOME POINT to have HPV issues. I had an anal wart spell 3 years before they tested me for HPV, though as far as I know they have never returned.

(and spare me the wiki critiques as a medical resource... I know, I know)

I'd just leave it that at some point you should have the PAP smear done. Keep in mind all of this is PREVENTATIVE medicine as if left unchecked it the dysplasia ( read this: http://en.wikipedia.org/wiki/Dysplasia ) could very well likely end up as anal cancer, the male equivalence of cervix cancer, not to be confused with prostate cancer.

You have to get in this kind of reverse stir-up thing that sticks your ass up in the air,

That device came unmodified directly from the Spanish Inquisition to modern medical use. The only time I was on one I kept having to pull myself up before I fell off. I don't know how the doctor inspected anything since I was sliding the whole time. The stupid thing needs harnesses like a parachute.

I will never get on one of those again. They can look up my ass while I'm bent over a table.

Boo

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String up every aristocrat!Out with the priests and let them live on their fat!

As for the unprotected sex, I WILL NEVER DO IT AGIAN!!! I was always safe until a recent trip to Germany change that and it was one time and the guy didn't cum inside me. Was that effective? NOPE!

I'm the same way. I don't EVER want anal warts again. It was a wretched nightmare. Mine were so bad and multiplied so quick after three "burning" sessions they had to go in with a knife and cut out anal tissue, then put in SUTURES! STITCHES IN MY ASS.

As a big ole bottom known as the Holland Tunnel this just insulted my dignity. Then a year later I got ghonorreah from a big name porn star I met who was a top in all his movies and morphed into a big bottom in my bedroom. I can assume the top position with panache if needed. Anyway, the fucktard I later learn had been escorting out of ads in the back of HX that entire week he was visiting from LA. Actually ghonorreah wasn't that big of a deal but frankly I just feel cursed with this shit, so you know what, if you want to have sex with me you're going to use a rubber not because of speculative HIV reinfection because I don't know much about it, but because of all the other nasty stuff. I'm the bottom, it's my body, it's my decision. Don't like it leave.

Now, if I was in a relationship and I really trusted the guy I'd relax with the rules, MAYBE. Call me paranoid, it's my right.

That device came unmodified directly from the Spanish Inquisition to modern medical use. The only time I was on one I kept having to pull myself up before I fell off. I don't know how the doctor inspected anything since I was sliding the whole time. The stupid thing needs harnesses like a parachute.

I will never get on one of those again. They can look up my ass while I'm bent over a table.

Boo

Oh, and Dr. Goldstone's laser technician is a Radical Fairy! His name is Jeff and he's totally rad. I always seem to land these fat Jewish gay doctors. My ID was that same type. Horribly charming men. I'm quite sure my ID doctor was kind of flirting with me a lot of the time.

You get a male version of a PAP smear. Basically they stick a Q-tip up your ass. Your GP can do this. Then they test it for presence of HPV or irregular cellular structure presence. I was told a good time to test is at your HIV ten year anniversary. That's when I had mine, and OF COURSE, it was positive.

THEN you go to whatever they call an anal specialist. If you live in New York I can't recommend the office of Dr. Stephen Goldstone enough -- he's top in the field and you will not feel uncomfortable as a gay man there. Located right in Chelsea!

Once you go to the butt doctor GET READY! You have to get in this kind of reverse stir-up thing that sticks your ass up in the air, and then they stick this little scope up your lubed shit chute (they gave me an advance on xanax to relax me before I arrived) and they take a live video of what's up your butt. If there's what's called dysplasia which I think is a large clump of the irregular cell structure they go in with a little laser and burn it out.

Yes, it's kind of mortifying. But once you have it done the first time it's really not all that bad. Getting a crown at the dentist is worse, let's put it that way. Definitely take some xanax before going though. After they find stuff in you they set up a treatment plan and you have regular check ups, probably either every 6 months and then if you continue to be clear every year.

I've been bad and since I moved I've not gone for 2 years. I need to sort this out here. Oddly my HIV specialist doesn't seem to bring it up. It was quite the "on topic" thing in treatment in NYC five years ago -- "everyone should be checked!"

What do you ID's say to you about it?

ps: a colostomy is not the same as HPV dysplasia removal -- isn't that for prostate cancer? That's two separate issues and I've not had that done. I'm 42 though now so maybe I should. Ick... but really as a 99% bottom I'm so used to larger things going up in there. I can imagine what a complete and utter horror house it is for a top. HA HA

Of course, you realize that condom use still allows the very real possibility of STD as well. Gonnorrhea, syphilis, and especially HPV can - and often are - transmitte despite the correct and consistent use of condoms.

Yes thats possible. They rave that with proper condom use the chances of contracting the HIV virus is very slim to none You also have to take in to account expiration date of the propholaytic, is there a hole or rip, is i latex. etc...

I've heard HPV can still be transmitted with condom use other STD's I believe for the most part are harder to get with condom use.

Improper use of condoms believe it or not can be very easy to do. As simple as a condom rolling upon pulling out or retracting can be a greater risk for STD's.

Did you know that HPV or anal cancer has a bigger risk factor just being HIV+? You dont have to be in to Anal sex at all to get it. Hetersexuals sould get checked as well that are POZ. Just being HIV+and being a smoker can put you a great risk.

HUMAN PAPILLOMAVIRUS (HPV) HPV affects both women and men. ē Anyone who has any kind of sexual activity involving genital contact with an infected person can get HPVó-intercourse isn't necessary.ē Many people who may have HPV may not show any signs or symptoms, so they can pass the virus on without even knowing it.HPV is easily transmitted. The Centers for Disease Control and Prevention (CDC) estimates that 20 million people in the United States already had HPV in 2005. According to the CDC, the only way you can totally protect yourself against HPV is to avoid any sexual activity that involves genital contact. HPV Types 6, 11, 16, and 18 account for the majority of HPV-related clinical diseases.

People living with HIV and others with compromised immunity are more at risk for HPV-related complications. Women living with HIV tend to have multiple types of HPV (which is associated with a greater risk of HPV-related disease), are less likely to clear HPV-related conditions (like when warts are more difficult to treat and less likely to go away) and are more likely to progress to HPV-related disease (such as warts progressing to dysplasia).

One study looking at HPV infection in both HIV-positive and -negative women suggests that HIV may be activating dormant HPV and thus increase the risk of HPV-related disease. Immune suppression decreases the body's ability to keep HPV in check. This link was recognized well before the HIV epidemic. In the case of HIV, as HIV progresses, the ability of the immune system to control HPV infection is reduced. This can result in higher levels of HPV and the development of HPV-related disease.

CD4 cell count is a marker of immune health, and HIV viral load is an indicator of how active HIV is in the body. Both of these lab tests provide information for people living with HIV to monitor their health

Certain strains of HPV may also cause dysplasia and cancer in the anus. Although the risk of developing dysplasia is higher among men who have sex with men, women are also at risk, especially those with HIV infection or a history of anal intercourse.

Symptoms:

* May be no symptoms * Anal bleeding, irritation, itching, or a burning sensation * In very advanced stages, there may be abscesses, lumps, ulcers, and anal discharge

Diagnosis:

* Anal Pap smear * If you have an abnormal Pap, you may need an anoscopy (an exam of the anus using a microscope to look at the tissue more closely) * Physical examination * It is important to ask your doctor to perform these tests on a regular basis

Of course, you realize that condom use still allows the very real possibility of STD as well. Gonnorrhea, syphilis, and especially HPV can - and often are - transmitte despite the correct and consistent use of condoms.